Kamonporn Munboon, CCC-SLP in Los Angeles, CA - Medicare Speech-Language Pathologist Provider

Kamonporn Munboon, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Los Angeles, California. Her current practice location is 3210 W Pico Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 734-2171.

Kamonporn Munboon is licensed to practice in California (license number SP32903) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902503790.

Contact Information

	Kamonporn Munboon, CCC-SLP
	3210 W Pico Blvd, Los Angeles, CA 90019-3643
	(323) 734-2171
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kamonporn Munboon
Gender	Female
Speciality	Speech-language Pathologist
Location	3210 W Pico Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902503790
Provider Enumeration Date: 02/13/2023
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4183071327
Enrollment ID: I20231109003497

Medical Identifiers

Medical identifiers for Kamonporn Munboon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902503790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SP32903 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kamonporn Munboon allows following entities to bill medicare on her behalf.

Provider Name	Interface Rehab, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1306960851 PECOS PAC ID: 6204736556 Enrollment ID: O20080226000768

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kamonporn Munboon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kamonporn Munboon, CCC-SLP 6619 Leland Way Apt 303, Los Angeles, CA 90028-7881 Ph: (424) 653-4251	Kamonporn Munboon, CCC-SLP 3210 W Pico Blvd, Los Angeles, CA 90019-3643 Ph: (323) 734-2171

Reviews and Comments

Speech-Language Pathologist in Los Angeles, CA

Benjamin M Kalkin, SP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000 Fax: 626-405-6768
Maureen Jennings, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2301 Roscomare Rd, #104, Los Angeles, CA 90077 Phone: 310-663-3868
Ms. June Mitsunaga Fujimoto, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1968 W Adams Blvd Ste 300, Los Angeles, CA 90018 Phone: 310-553-3695
Daniella Hay, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1080 S La Cienega Blvd Ste 208, Los Angeles, CA 90035 Phone: 323-426-6402
Taryn Kiani Michiko Park, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1680 E 120th St, Los Angeles, CA 90059 Phone: 424-338-8000
Franchesca Soto, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3200 Motor Ave, Los Angeles, CA 90034 Phone: 310-836-1223
Ms. Jana Lovell, M.A, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11301 Wilshire Blvd, Los Angeles, CA 90073 Phone: 310-478-3711

Kamonporn Munboon, CCC-SLP - Medicare Speech-Language Pathologist in Los Angeles, CA